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PMHNP EXAM QUESTION AND ANSWER, Exams of Psychotherapy

Southern Virginia UniversityPsychotherapy

PMHNP EXAM QUESTION AND ANSWER IS a board certification exam that provides an assessment of the entry-level clinical knowledge and skills of the Psychiatric Mental Health nurse practitioner.

Typology: Exams

2023/2024

Available from 02/01/2024

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PMHNP Exam Reported Questions and Awers
1.What is dissemination? A- Getting the research information out
to those who need to know it!
Publication - highest level
Presenting at National
Conference Presenting at
Local Conference
Journal Club where one person reviews an article
2.What does a 17 on MMSE mean?: A- Moderate cognitive
impairment
3.What is Tegretol in the CYP450 system? A-: Inducer -->will
lower the dose of Lamictal and BCPs
4.What do BCPs do to Lamictal?: A- Inducer - will lower the dose of
Lamictal
5.What is a Type I research error?: A- There IS a difference but you
say there isn't a difference.
6.What is a Type II research error?: A- There is NO difference
but you say there is a difference.
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PMHNP Exam Reported Questions and Awers

  1. What is dissemination? A- Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article
  2. What does a 17 on MMSE mean?: A- Moderate cognitive impairment
  3. What is Tegretol in the CYP450 system? A-: Inducer -->will lower the dose of Lamictal and BCPs
  4. What do BCPs do to Lamictal?: A- Inducer - will lower the dose of Lamictal
  5. What is a Type I research error?: A- There IS a difference but you say there isn't a difference.
  6. What is a Type II research error?: A- There is NO difference but you say there is a difference.
  1. What is epigenetics?: Factors that affect genes - environmental, smoking, stress, etc... 2 / 25
  1. What part of the brain is involved with OCD?: Basal Ganglia Occipito-Frontal
  2. What happens to the brain during adolescence?: Dendritic pruning Emotions are controlled by the amygdala By adulthood, PFC is involved as well
  3. When do males typically present with schizophrenia?: 10-25 yo
  1. When do females typically present with schizophrenia?: 25- yo
  2. What does Erythromycin d o to trileptal?: You will need to decrease the level because Trileptal(inducer) and erythromycin is an inhibitor
  3. ACE Inhibitors are the drug of choice for what?: Heart Failure HTN 23. What are some psychiatric side effects seen with some asthma drugs: - Leukotriene receptor agonists - singulair, accolade, cyclo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
  4. What should you watch for with Tegretol?: Agranulocytosis and Hyponatrem- ia
  5. What are the 3 CK muscle enzyme tests?: CKBB, CKMM, CKMB
  6. Which one of the 3 muscle enzymes is related to cardiac muscle damage?: CKMB 27. What is the risk of a seriously elevated CKMB?: Polymyositis Rhabdo
  7. What is a normal CKMB?: 0.3 mcg/L

29. What psychoactive does Detrol interact with?: Topamax KCL Zonegran

  1. What does a decreased retic count indicate?: Anemia
  • acute or chronic bleeding
  1. What does an increased retic count indicate?: Bone marrow disorder or Vitamin Deficiency
  2. What does an abnormal retic count indicate in general?: Doesn't diagnose anything. The first step is to identify the source of the issue.
  3. What happens when you mix tegretol and macrolides?: Increase tegretol levels.
  4. What happens if a pregnant woman takes Accutane?: Birth defects.
  5. What labs do you get with RA?: Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis. CRP and ESR are both increased in RA but NOT in osteoarthritis.
  6. Where does the NP Code of Ethics come from?: ANA 45. When do you assume informed consent?: Unconscious Incompetent Life- Threatening Situation 46. What are the legal ramifications of treating w/o informed consent?: Same as with informed consent
  1. Can an advanced directive ever be revoked?: Yes, at any time.
  2. What is the difference between a Healthcare Agent, Proxy, Surrogate, and Attorney?: Nothing. They are all the same.
  3. Does the de facto rule of proxy apply in same-sex marriages?: No.
  4. How do AsiA see HC providers?: As in a position of authority. Expect to give instructions and help make decisions
  5. What does it mean when an Asian patient does not make eye contact with the NP?: SIgn of respect
  6. What is the evil eye?: When a stronger person looks at a weaker person - often an infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, and increased fussiness.
  7. How do you protect yourself from the evil eye?: Red ribbon on an infant Amulet for adults
  8. How do you treat evil eye?: Access traditional healer + traditional care.
  9. For there to be a duty to a patient, what must exist?: Relationship
  1. What is a proximate cause?: Connection between A + B.
  2. For there to be damages, what must exist first?: Negligence
  3. What is an occurrence basis liability insurance?: "occurred" during the policy period, no matter when the claim is brought against the insured

disability, ANY age with renal disease.

  1. What is incident to billing?: MeA the MD initiates treatment and the NP is an extension of the care and is directly under the supervision of the MD. Allows NP to get reimbursed at 100% rather than 85%.
  2. How are Medicaid benefits determined?: State determines qualification
  • Partnership between State and Fed Govt. Must be impoverished Must be a US resident and low or very low income.
  1. Can you have Medicare and Medicaid?: Yes, impoverished elderly but Medic- aid is always payor of last resort.
  2. Is dental care included in Medicaid?: Yes, <21 get basic dental as part of the Medicaid plan.
  3. What is the purpose of HIPAA?: National standards for electronic HC trAactions National ID for providers, health plA, and employers. Not SIMPLY Confidentiality.

fibro?: Cymbalta, Effexor Elavil, Pamelor

Lyrica, Gabapentin Ultram, Benzo's

  1. What is the purpose of telepsychiatry?: Increase the ability to reach rural and underserved areas.
  2. What is the purpose of Motivational Interviewing?: Explore ambiguity Maintain a passive position
  3. What is required for Medicare submission?: ICD 10 and narrative or CPT
  4. What is the neurotrAmitter problem in Schizophrenia?: Excess dopamine in the mesolimbic pathway.
  5. What is the neurotrAmitter problem in ADHD?: Dopamine, norepinephrine, and serotonergic dysfunction
  6. What is the benefit of play therapy?: Don't have to confront emotions head-on.
  7. What neurotrAmitters are involved in the bioamine hypothesis of depression?: Noradrenaline Serotoni